消化性溃疡_____再生黏膜；消化性溃疡；高清晰放大内镜

高清晰放大内镜对消化性溃疡再生黏膜形态的观察及临床意义

http://www.100md.com 《中华现代内科学杂志》 2006年第6期

消化性溃疡,,再生黏膜；消化性溃疡；高清晰放大内镜,1资料与方法,2结果,3讨论,【参考文献】

     【摘要】目的探讨高清晰放大内镜下观察消化性溃疡再生黏膜形态的改变及其临床意义。方法使用Olympus GIF-Q240Z型电子放大内镜对58例门诊病例，经常规胃镜检查后，转换高清晰放大功能，详细观察消化性溃疡再生黏膜的形态。结果 55例良性溃疡中栅状再生黏膜占3.6%，纺锤状再生黏膜占16.4%，结节状再生黏膜占12.7%，两种或两种以上再生黏膜占67.3%。3例早期癌的再生黏膜均为结节状再生黏膜。结论高清晰放大内镜所观察到的消化性溃疡再生黏膜形态的三大类型对于判断病程的长短、治愈的难易程度、溃疡复发的危险性均密切相关。结节状再生黏膜的出现提示增生受阻，应高度警惕癌变的可能。

    【关键词】再生黏膜；消化性溃疡；高清晰放大内镜

    Morphology of regenerative mucosa of digestive ulcer under high resolution magnifying endoscope

    LI Yutao,YU Yongzheng.

    Beijing Longfu Hospital,Beijing 100010,China

    【Abstract】 Objective To investigate the regenerative mucosal characteristics of digestive ulcer evaluated by highresolution magnifying endoscope. Methods Olympus GIFQ240Z highresolution magnifying endoscope was performed. Fiftyeight patients with digestive ulcer were examined by regular endoscopy with highresolution magnifying function. Particular inspection was given on the microstructure of gastric regenerative mucosa.Results Fiftyfive patients' lesions were benign and the morphology of gastric mucosa was classified as follows: fenced,spindled,node. Two of fiftyfive cases (3.6%) had fenced gastric microstructure, nine cases (16.4%) had spindled, seven cases (12.7%) had node, the others (67.3%) had mixed morphology. All of three cases with early carcinoma had node gastric microstructure. Conclusions The types of regenerative mucosal morphology of digestive ulcer were closely related to the course of diseases, the therapy and the tendency of relapse. The identification of gastric regenerative mucosal microstructure through magnifying endoscope would help in the diagnosis of the lesions. ......

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